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Empowering Healthcare Leadership Through Facilitators of Evidence-Based Management: A Narrative Review and Proposed Conceptual Framework

Author

Listed:
  • Dr. Mohammed Sallam

    (Department of Pharmacy, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai P.O. Box 505004, ‎United Arab Emirates; Department of Management, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai P.O. Box 505004, ‎United Arab Emirates; Ph.D., Department of Management, School of Business, International American University, Los Angeles, CA 90010, ‎United States of America ; College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai P.O. ‎Box 505055, United Arab Emirates)

  • Dr. Adrian Stanley

    (College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai P.O. ‎Box 505055, United Arab Emirates; Department of Clinical Management, Mediclinic Middle East, Dubai P.O. Box 123812, ‎United Arab ‎Emirates)

  • Dr. Johan Snygg

    (Department of Management, Mediclinic City Hospital, Mediclinic Middle East, Dubai P.O. Box ‎‎505004, ‎United Arab Emirates; Department of Anesthesia and Intensive Care, University of Gothenburg, Sahlgrenska Academy, 41345 ‎Gothenburg, ‎Sweden)

  • David Jelley

    (Department of Management, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai P.O. Box 505004, ‎United Arab Emirates)

  • Dr. Adil Sajwani

    (Department of Management, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai P.O. Box 505004, ‎United Arab Emirates; Department of Family Medicine, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai P.O. ‎Box 505004, United Arab Emirates)

Abstract

Decision-making in healthcare leadership often relies on subjective experiences rather than structured, evidence-based approaches, leading to inefficiency, missed opportunities for improvement and ineffective control over rising healthcare costs. This narrative review examined key facilitators that enhance the adoption of Evidence-Based Management (EBMgt) in healthcare, focusing on leadership effectiveness, operational efficiency, and strategic decision-making. A comprehensive literature search was conducted across PubMed, ABI/INFORM, Google Scholar, Emerald, ResearchGate, Harvard Business Review, ProQuest, and Health Business Elite, covering studies from 2015 to 2025. After applying inclusion criteria, 37 studies were analyzed to identify enablers supporting EBMgt implementation. The most common study designs were quantitative cross-sectional studies (n=11), systematic literature reviews (n=6), and qualitative studies with semi-structured interviews (n=5), with most studies conducted in the United States (n=9), Iran (n=6), and Australia (n=4). The findings showed that leadership commitment, organizational culture, access to high-quality evidence, professional development, stakeholder engagement, and digital solutions are crucial in fostering an EBMgt culture. Healthcare organizations that effectively leverage these facilitators demonstrate improved adaptability, better resource utilization, and more informed leadership decisions. This review introduced the EBMgt Implementation Pentagon Model, a new conceptual framework encompassing ‎five key constructs — Implementation Intentions (II), Knowledge Management (KM), Implementation Science (IS), Organizational Culture (OC), and Stakeholder Engagement (SE) to evaluate EBMgt adoption and increase awareness of its importance. Assessment ‎included four statements per construct, evaluated using a five-point Likert scale. EBMgt ‎adoption was weighed through a structured scoring system, with higher percentages (≥80%) ‎signifying stronger integration, leadership commitment, and organizational alignment, ‎while lower percentages (

Suggested Citation

  • Dr. Mohammed Sallam & Dr. Adrian Stanley & Dr. Johan Snygg & David Jelley & Dr. Adil Sajwani, 2025. "Empowering Healthcare Leadership Through Facilitators of Evidence-Based Management: A Narrative Review and Proposed Conceptual Framework," Frontiers in Management Science, Paradigm Academic Press, vol. 4(2), pages 39-63, March.
    • Handle: RePEc:bdz:frmans:v:4:y:2025:i:2:p:39-63
    DOI: 10.56397/FMS.2025.03.03
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